非体外循环和体外循环冠状动脉旁路移植术的临床对比研究  

Comparative study between off-pump and on-pump of coronary artery bypass grafting

作　　者：曹旭[1] 解强[1] 井明[1] 李萌[1] 白雪涛[1] 江宏伟[1] 

机构地区：[1]中国医科大学附属第四医院心血管外科,沈阳110032

出　　处：《中国医师进修杂志》2010年第2期9-10,共2页Chinese Journal of Postgraduates of Medicine

摘　　要：目的比较非体外循环冠状动脉旁路移植术（off-pumpCABG）和体外循环冠状动脉旁路移植术（on-pumpCABG）的临床效果。方法回顾性分析2005年6月至2008年12月行冠状动脉旁路移植术152例患者的临床资料，其中off-pumpCABG85例（观察组），on—pumpCABG67例（对照组），对两组术后病死率、并发症发生率进行比较。结果观察组术后死亡2例（2．35％），出现并发症13例（15．29％）；对照组术后死亡9例（13．43％），出现并发症25例（37．31％）。观察组术后病死率和并发症发生率均比对照组低，差异有统计学意义（P〈0．01）。结论off-pumpCABG是安全的、微创的手术治疗方法。Objective To compare the clinical effect of off-pump coronary artery bypass grafting （off-pump CABG） and on-pump coronary artery bypass grafting （on-pump CABG）. Methods The chnical dates of 152 cases with coronary artery bypass grafting （off-pump CABG group 85 cases, on-pump CABG group 67 cases） were received from June 2005 to December 2008, the preoperative dates, postoperative mortality and the rate of complication were compared between two groups. Results The preoperative dates of two groups were no significant difference （P 〉 0.05 ）;2 cases （2.35%） were died in off-pump CABG group and 13 cases （15.29%） had complications in off-pump CABG group; 9 cases （13.43%） were died in on-pump CABG group and 25 cases （37.31%） had complications in on-pump CABG group. The mortality and the rate of complication in off-pump CABG group was significantly less than that in on-pump CABG group, it was significant difference （P〈 0.01 ）. Conclusion Off-pump CABG is safe therapy ofmicosurgical operation.

关 键 词：冠状动脉旁路移植术 非体外循环 并发症 

分 类 号：R654.2[医药卫生—外科学] R169.41[医药卫生—临床医学]